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Organization

ABM MEDICAL CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARYAM MORTEZAIEFARD D.O. (MEDICAL DIRECTOR)
(818) 222-8042
Entity
Organization

Contact information

Practice address
22554 VENTURA BLVD STE 201, STE 201, WOODLAND HILLS, CA 91364-1480
(818) 222-8042
(818) 222-2240
Mailing address
22554 VENTURA BLVD STE 201, STE 201, WOODLAND HILLS, CA 91364-1480
(818) 222-8042
(818) 222-2240

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
20A7100
CA

Other

Enumeration date
10/15/2007
Last updated
10/13/2017
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